Ðe suklidɔ le ŋuwòa? Alo ɖe suklidɔ le fu ɖem na wò ƒomea alo xɔ̃wò vevi aɖea? Ekema ŋutinya sia anɔ vevie na wò ŋutɔ. Ne míebu suklidɔ ŋu zi geɖe la, sukli si le ʋu me dzi ɖuɖu koe míebuna. Gake ɖe míenya nu si suklidɔ ate ŋu agblẽ le míaƒe ŋutilã ƒe ŋutinu vevi bubu si nye míaƒe ayiku ŋu nyateƒea? Emae nye nusi ŋu míele nu ƒom tsoe egbea.
Nukae Nye Suklidɔ ƒe Aɖudɔ?
Kpuie ko la, suklidɔ ƒe ayikudɔ nye ayiku ƒe dɔwɔwɔ vivivi si suklidɔ hena vɛ le ɣeyiɣi aɖe megbe. Le nyateƒe me la, suklidɔe nye nusi koŋ gbɔ ayiku ƒe dɔmawɔmawɔ nyuie tsona le xexeame katã. Suklidɔléla siwo ade ɖeka le etɔ̃ ɖesiaɖe me axɔ nɔnɔme sia.
Ne ayikudɔ dze ame aɖe si ŋu suklidɔ le dzi la, nɔnɔmea ate ŋu asesẽ vie wu ne ayikudɔ le eŋu ko suklidɔ manɔmee. Esia le alea elabena zi geɖe la, lãmesẽkuxi bubuwo abe ʋusɔgbɔdɔ, ʋumemi ƒe agbɔsɔsɔ, kple ʋukawo ƒe ʋuʋu ene, nɔa suklidɔlélawo ŋu . Ne wotsɔ nu siawo katã ƒo ƒui la, nu siwo ate ŋu agblẽ le ayikuawo ŋu la ga lolo wu.
Nɔnɔme sia hã toa vovo vie le suklidɔ ƒe ƒomevi nu.
- Le suklidɔ Ƒomevi 1 me: Ayiku ƒe gbegblẽ mebɔ kura le ƒe 10 gbãtɔ siwo me wokpɔ dɔlélea le vɔ megbe o.
- Le Suklidɔ Ƒomevi 2 me: Le dɔnɔ aɖewo gome la, ne ɖɔkta gblɔ be, "Suklidɔ le ŋuwò" gɔ̃ hã la, ɖewohĩ woƒe ayikuwo te gbegblẽ va ɖo afi aɖe xoxo. Esia tae wòle be amesiwo ŋu suklidɔ Ƒomevi 2 le naɖɔ ŋu ɖo vevie le esia ŋu ɖo.
Nukae nye nɔnɔme sia ƒe dzesiwo?
Nusi me afɔku le wu le esia ŋue nye be dzesi aɖeke medzena le eƒe gɔmedzedze o. Ðewohĩ màde dzesi tɔtrɔ aɖeke o vaseɖe esime wò ayikuwo gblẽ vevie hafi. Gake ne wò ayikuwo te dɔmawɔmawɔ nyuie la, dzesi siwo gbɔna ate ŋu adze:
Bu eŋu kpɔ, suklidɔ le dawò ŋu. Mete ŋu wɔa nusiwo wòwɔna tsã o, egblɔna ɣesiaɣi be ɖeɖi te ye ŋu. Ne efɔ le ŋdi me la, eƒe afɔwo kple mo vuvu vie. Míesusu be enye nusi dzɔna ne ame tsi, alo nane si dzɔna ne ɖeɖi te ame ŋu. Gake esiawo ate ŋu anye ayiku me kuxi aɖe ƒe dzesi gbãtɔwo.
| Dzesi si dzena | Nuɖᴐɖᴐ |
|---|---|
| Asiwo, afɔwo, kple mo ƒe vuvu | Esia dzɔna elabena ayikuawo mete ŋu ɖea tsi bubu le ŋutilãa me o. |
| Alɔ̃dɔdɔ ƒe kuxiwo kple susu ƒe dɔwɔwɔ dzi ɖeɖe kpɔtɔ | Gbeɖuɖɔwo ƒe ƒuƒoƒo ɖe ʋua me ate ŋu akpɔ ŋusẽ ɖe ahɔhɔ̃a ƒe dɔwɔwɔ dzi. |
| Nuɖuɖudzroame ƒe vɔvɔ kple ʋuʋudedi | Enye dzesi si bɔ si tsoa aɖinuwo ƒe ƒuƒoƒo ɖe ŋutilã me gbɔ. |
| Gbɔdzɔgbɔdzɔ kple ɖeɖiteameŋu si gbɔ eme | Lãmetsiŋusẽ siwo ayikuwo wɔna dzi ɖeɖe kpɔtɔ ate ŋu ahe ʋusɔgbɔdɔ (ʋu ƒe veve) vɛ. |
| Ŋutilã ƒuƒu kple ʋuʋudedi si gbɔ eme | Woate ŋu akpɔ esia le ayiku ƒe dɔmawɔmawɔ nyuie ƒe akpa mamlɛawo me (ayikudɔléle ƒe akpa mamlɛa). |
| Dzi ƒe tsotso ƒe masɔmasɔ | Potassium ƒe agbɔsɔsɔ si dzi ɖe edzi le ʋua me kpɔa ŋusẽ ɖe dzi ƒe dɔwɔwɔ dzi. |
| Lãmetsiwo ƒe ʋuʋu | Ate ŋu atso calcium kple phosphorus ƒe masɔmasɔ le ŋutilãa me gbɔ. |
Esi ayikuawo ƒe nugbegblẽ le dzidzim ɖe edzi la, womete ŋu ɖea gbeɖuɖɔwo ɖa le ʋua me o. Gbeɖuɖɔ siawo ate ŋu aƒo ƒu ɖe ŋutilãa me eye woazu aɖi. Woyɔa esia be uremia . Ne nɔnɔme sia nu sẽ la, ate ŋu ana ame natɔtɔ eye wòanɔ alɔ̃ me gɔ̃ hã.
Aleke woawɔ anya dɔléle sia?
Nu vevitɔ kekeakee nye be nàde dzesi nɔnɔme sia kaba. Ne èwɔe alea la, àte ŋu aɖu eƒe ŋgɔyiyi dzi alo ahe eƒe ŋgɔyiyi ɖe megbe vaseɖe esime ayiku nawɔ dɔ keŋkeŋ.
Mɔ vevitɔ kple bɔbɔetɔ si dzi woato ade dzesi esiae nye aɖuɖɔ dodokpɔ. Protein si le aɖuɖɔ meWoate ŋu ade dzesi nɔnɔme sia do ŋgɔ ŋutɔ ne wodo microalbuminuria (Urine for Microalbuminuria) kpɔ. Esia tae wòle vevie be suklidɔléla nado aɖuɖɔ kpɔ zi ɖeka ya teti le ƒea me ɖo.
Tsɔ kpe ɖe eŋu la, ʋudodokpɔ siwo léa ŋku ɖe atike siwo le ʋua me abe creatinine ene ƒe agbɔsɔsɔ ŋu ate ŋu ana wò ɖɔkta nanya alesi wò ayikuwo gblẽe kple alesi wole dɔ wɔm nyuie (eGFR).
Nukawoe nye atikewɔmɔnuawo?
Le atikewɔwɔ gome la, agbenɔnɔ ƒe tɔtrɔ nye nu gbãtɔ. Wò ʋumesukli kple ʋu ƒe sisi dzi ɖuɖu nye mɔ nyuitɔ si dzi nàto axe mɔ ɖe ayiku ƒe gbegblẽ geɖe wu nu.
Tsɔ kpe ɖe eŋu la, atike tɔxɛ aɖewo li siwo ate ŋu akpe ɖe ame ŋu wòaɖu ayiku ƒe gbegblẽ dzi ahahe ɖe megbe.
- SGLT2 mɔxenuwo: Esiawo nye atike ƒomevi aɖe si kpena ɖe ame ŋu wòléa sukli si le ʋu me nu eye wòkpɔa ayiku ta. Kpɔɖeŋu aɖewoe nye dapagliflozin (Farxiga) kple empagliflozin (Jardiance).
- ACE inhibitors (Angiotensin-converting enzyme inhibitors): Zi geɖe la, woŋlɔa esiawo na ʋusɔgbɔdɔ. Gake woŋlɔa wo hã be woatsɔ axe mɔ ɖe ayiku ƒe gbegblẽ le amesiwo ŋu suklidɔ le ŋu. Ne wò ʋu ƒe sisi sɔ hã la, wò ɖɔkta ate ŋu adze atike siawo zazã gɔme na wò be wòakpɔ wò ayiku ta. Kpɔɖeŋuwo: ramipril (Altace), lisinopril (Prinivil).
- ARBs (Angiotensin II receptor blockers): Ne ACE inhibitors he nugbegblẽ le ame ŋu abe kɔdzidɔ ene vɛ la, woate ŋu ana atike sia ƒomevi (ARBs) ɖe eteƒe.
Vevietɔ ŋutɔ: Wò ɖɔkta koe ate ŋu aŋlɔ atike siawo na wò. Mèganɔ te ɖe nusiwo nèxlẽ le internet dzi alo nusi xɔ̃wò aɖe kafu dzi nazã wo o. Wò ɖɔkta ado wò kpɔ eye wòaŋlɔ atike kple agbɔsɔsɔme si sɔ wu na wò nɔnɔmea.
Ne womewɔ atike na ayikuawo o la, ayikuawo ado kpo nu vivivi, protein ƒe agbɔsɔsɔ si le aɖuɖɔ me adzi ɖe edzi, eye mlɔeba la, ate ŋu ahiã be woado ayiku alo ayiku dodo na ame. Eyata ele vevie ŋutɔ be míanya esia.
Gbedasi si Wotsɔ Yi Aƒeme
- Suklidɔe nye nu vevitɔ si hea ayikudɔ vɛ.
- Esi wònye be zi geɖe la, dzesi aɖeke medzena le eƒe gɔmedzedze o ta la, ele vevie be woado aɖuɖɔ kpɔ ƒe sia ƒe (Urine for Microalbumin) ne suklidɔ le ŋuwò.
- Woate ŋu aɖu ayiku ƒe gbegblẽ dzi ne wokpɔ ʋu ƒe sisi kple sukli ƒe agbɔsɔsɔ dzi nyuie ŋutɔ.
- Ne èkpɔ dzesiwo abe asi, afɔ, alo mo ƒe vuvu, ɖeɖiteameŋu si gbɔ eme, alo nuɖuɖu ƒe dzodzro ene la, mègaŋe aɖaba ƒu wo dzi eye nàyi ɖɔkta gbɔ enumake o.
- Ele vevie ŋutɔ be nàno atike siwo woŋlɔ na wò, vevietɔ esiwo wozãna na suklidɔ, ʋusɔgbɔdɔ, kple ayikudɔ, nyuie eye nàno ɖe game dzi.
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Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee